Organization
BARROSS MANOR, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS CORTNEY RUTH BUCHHOLZ RN (OWNER/PROPRIETOR)
(218) 834-6174
Entity
Organization
Contact information
Practice address
414 1ST AVE, TWO HARBORS, MN 55616-1614
(218) 310-2562
Mailing address
414 1ST AVE, TWO HARBORS, MN 55616-1614
(218) 310-2562
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
353079
MN
Other
Enumeration date
08/29/2011
Last updated
08/29/2011
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